Provider Demographics
NPI:1376077909
Name:AOI ANESTHESIA LLC
Entity Type:Organization
Organization Name:AOI ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:O
Authorized Official - Last Name:IDAWU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-443-5722
Mailing Address - Street 1:92 SW 3RD ST
Mailing Address - Street 2:#5107
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-2998
Mailing Address - Country:US
Mailing Address - Phone:314-443-5722
Mailing Address - Fax:
Practice Address - Street 1:92 SW 3RD ST
Practice Address - Street 2:#5107
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2998
Practice Address - Country:US
Practice Address - Phone:314-443-5722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME122495207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty